| Nevada Family Practice Residency Program, Inc. | |
|
4000 E Charleston Blvd Suite 230 Las Vegas NV 89104-6659 | |
| (702) 968-5059 | |
| (702) 968-4041 |
| Full Name | Nevada Family Practice Residency Program, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4000 E Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | James R Parcells (PRESIDENT) |
| Authorized Official Contact | 7029685059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Family Practice Residency Program, Inc. 4000 E Charleston Blvd Suite 230 Las Vegas NV 89104-6659 Ph: (702) 968-5059 | Nevada Family Practice Residency Program, Inc. 4000 E Charleston Blvd Suite 230 Las Vegas NV 89104-6659 Ph: (702) 968-5059 |
| NPI Number | 1366477036 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366477036 | NPI | - | NPPES |
| 100507624 | Medicaid | NV | |
| 100507627 | Medicaid | NV | |
| 100507629 | Medicaid | NV | |
| 100508688 | Medicaid | NV | |
| 100508689 | Medicaid | NV | |
| 100507625 | Medicaid | NV | |
| 100507626 | Medicaid | NV | |
| 100507628 | Medicaid | NV | |
| 100508048 | Medicaid | NV |
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